Upper endoscopy with biopsy
Facility: Jefferson Einstein Montgomery Hospital
Billing Code: 43239 (CPT)
Highest price of the 9 PA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $1,098 (about 1.2× the $927 Medicare rate). Jefferson Einstein Montgomery Hospital charges insurers about $1,067, or about $1,069 in cash — about the fair price. Located in East Norriton, PA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $947 - $2,493 | 102% |
| Blue Cross Blue Shieldmajor | $975 | 105% |
| Aetnamajor | $984 - $3,654 | 106% |
| Cignamajor | $965 - $4,204 | 104% |
| Humanamajor | $928 | 100% |
| Geisinger | $1,050 - $3,782 | 113% |
| UPMC Health Plan | $975 - $2,734 | 105% |
| WellCare | $1,021 | 110% |
| + 2 smaller / regional plans | $984 - $8,218 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Jefferson Einstein Montgomery Hospital
Compare: Upper endoscopy with biopsy at other PA hospitals
- Reading Hospital · West Reading $147
- Titusville Area Hospital · Titusville $161
- UPMC Wellsboro · Wellsboro $166
- UPMC Muncy · Muncy $168
- Uniontown Hospital · Uniontown $210
- Allegheny Valley Hospital · Natrona $218
- Allegheny General Hospital · Pittsburgh $218
- Canonsburg General Hospital · Canonsburg $218
Insurance negotiated median for the same procedure, sorted lowest first.